BRISTOL HOSPICE-EAST BAY, LLC (NPI# 1386087609) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386087609 |
| Entity Type | Organization |
| Organization Name | BRISTOL HOSPICE-EAST BAY, LLC |
| Practice Address |
5820 Stoneridge Mall Rd Ste 209 Pleasanton CA 94588-3200 |
| Mailing Address |
206 N 2100 W 202 Salt Lake City UT 84116-4740 |
| Practice Telephone | 9254009530 |
| Practice Fax Number | 4156514996 |
| Mailing Telephone | 8013250175 |
| Mailing Fax Number | 8014783568 |
| Enumeration Date | 2013-04-17 |
| Last Update Date | 2019-11-01 |
| Authorized Official Name | MR. HYRUM KIRTON (VP/CFO) |
| Authorized Official Telephone | 8016562769 |
| Is Organization Subpart | Y |
| Parent Organization Name | BRISTOL HOSPICE LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251G00000X | Hospice Care, Community Based | Agencies |
| Street Address |
5820 STONERIDGE MALL RD STE 209 |
| City | PLEASANTON |
| State | CA |
| Zip Code | 94588-3200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255932786 | Kabafusion, LLC | Durable Medical Equipment & Medical Supplies | 5860 W. Las Positas Blvd, Suite 19, Pleasanton, CA 94588 | 2020-11-02 |
| 1619519691 | Vanessa Baldwin | Behavior Technician | 5828 Stoneridge Mall Road, Suit 205, Pleasanton, CA 94588 | 2019-10-11 |
| 1184187783 | Amanda Singh | Behavior Technician | 1811 Stoneridge Mall Rd Suite 205, Pleasanton, CA 94588 | 2019-04-10 |
| 1891262192 | Virginia Zamora | Behavior Technician | 5820 Stoneridgemall Rd, Suite 205, Pleasanton, CA 94588 | 2018-10-25 |
| 1891275368 | Ixchel N Baltazar | Behavioral Analyst | 520 Stoneridge Mall Rd, Ste. 205, Pleasanton, CA 94588 | 2018-08-15 |
| 1386149409 | Monique Imanii Brown | Behavioral Analyst | 511 Johnson Drive, Pleasanton, CA 94588 | 2018-03-29 |
| 1922509710 | Cierra Marie Barton | Behavioral Analyst | 5820 Stoneridge Mall Road, Suite 205, Pleasanton, CA 94588 | 2018-02-27 |
| 1851800056 | Delisa Simon | Nurse Practitioner | 4439 Stoneridge Dr Ste 110, Pleasanton, CA 94588 | 2017-09-20 |
| 1831611409 | One Health Hospice, Inc. | Hospice Care, Community Based | 7059 Commerce Cir, Suite G, Pleasanton, CA 94588 | 2017-07-14 |
| 1114478641 | Carlos Gavino | Behavior Technician | 5820 Stoneridge Mall Dr, Suite 205, Pleasanton, CA 94588 | 2016-10-19 |
| Find all providers in zip 94588 | ||||
| Taxonomy Code | 251G00000X |
| Grouping | Agencies |
| Classification | Hospice Care, Community Based |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306456082 | A Plus Prime Care Hospice Inc | Hospice Care, Community Based | 4625 1st St Ste 230, Pleasanton, CA 94566-7169 | 2020-08-06 |
| 1477163798 | Anodyne Hospice Care LLC | Hospice Care, Community Based | 90 Mission Dr Ste 2, Pleasanton, CA 94566-7655 | 2020-08-01 |
| 1972126373 | Zenith Healthcare Inc | Hospice Care, Community Based | 5994 W Las Positas Blvd Ste 119, Pleasanton, CA 94588-8525 | 2020-05-20 |
| 1972086148 | Alliance Hospice Care | Hospice Care, Community Based | 5976 W Las Positas Blvd Ste 118, Pleasanton, CA 94588-8506 | 2018-09-12 |
| 1831611409 | One Health Hospice, Inc. | Hospice Care, Community Based | 7059 Commerce Cir, Suite G, Pleasanton, CA 94588 | 2017-07-14 |
| 1922532126 | Compassionate Home Health & Hospice Inc | Hospice Care, Community Based | 5820 Stoneridge Mall Rd Ste 310b, Pleasanton, CA 94588-3274 | 2017-04-13 |
| 1194107730 | A Plus Hospice, Inc. | Hospice Care, Community Based | 4615 1st St, Suite 230, Pleasanton, CA 94566-7387 | 2015-06-19 |
| 1639576705 | G&g Partners, Inc. | Hospice Care, Community Based | 2178-c Rheem Drive, Pleasanton, CA 94588 | 2014-12-04 |
| 1467859900 | Continuum Care Hospice LLC | Hospice Care, Community Based | 5994 W Las Positas Blvd Ste 221, Pleasanton, CA 94588-8509 | 2014-11-27 |
| 1962813519 | Lifeguard Hospice Care Inc | Hospice Care, Community Based | 5976 W Las Positas Blvd Ste 104, Pleasanton, CA 94588-8506 | 2014-05-16 |
| Find all providers in PLEASANTON | ||||
| City | PLEASANTON |
| Zip Code | 94588 |
Please comment or provide details below to improve the information on BRISTOL HOSPICE-EAST BAY, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.